tci ED Coding & Reimbursement Alert - 2016 Issue 9

You Be the Coder: Review the Rules Before Assigning Laceration Repairs and Moderate Sedation Codes

Question: I am having trouble with the chart below. What codes should I use to report the treatment of the injuries sustained? CHIEF COMPLAINT: Dictated. 20 year old male presents with an injury. He fell off of a dirt bike, motorized 1 hour ago. He struck his right knee against a railroad track or tie. He states it is very painful with a constant 9/10 pain. He has not been able to ambulate on it. It hurts more when he moves it or touches it. He suffered an open laceration. He states his last tetanus shot was approximately five...

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